Family-Involved Health Education to Improve Iron Tablet Adherence among Pregnant Women in Bungus Community Health Centre, Padang

Vetty Priscilla; Rika Sabri; Wedya Wahyu; Arif Rohman Mansur; Aurelia Krisheilandara

doi:10.25077/jwa.33.1.92-104.2026

Authors

Vetty Priscilla Department of Pediatric and Maternity Nursing, Faculty of Nursing, Universitas Andalas, Padang, Indonesia
Rika Sabri Department of Community and Mental Health Nursing, Faculty of Nursing, Universitas Andalas, Padang, Indonesia
Wedya Wahyu Department of Pediatric and Maternity Nursing, Faculty of Nursing, Universitas Andalas, Padang, Indonesia
Arif Rohman Mansur Department of Pediatric and Maternity Nursing, Faculty of Nursing, Universitas Andalas, Padang, Indonesia
Aurelia Krisheilandara Undergraduate Student, Faculty of Nursing, Universitas Andalas

DOI:

https://doi.org/10.25077/jwa.33.1.92-104.2026

Keywords:

anaemia, pregnant women, adherence, iron tablets, family support, health education

Abstract

Anaemia during pregnancy remains an important maternal health problem in Indonesia. In the Bungus Community Health Centre, anaemia among pregnant women remained high despite the distribution of iron tablets, indicating that tablet availability alone was insufficient to ensure adherence. Limited knowledge, negative attitudes toward side effects, and lack of family support, especially from husbands, were identified as key barriers. To evaluate the effect of family-involved health education on pregnant women’s adherence to iron tablet consumption, knowledge, attitudes, and family support. This community-based pre–post educational intervention was conducted in August 2025 in the Bungus Community Health Centre working area, Padang. Participants were 10 pregnant women and 10 husbands selected. The intervention consisted of interactive health education for pregnant women and husbands, printed educational materials, and reminder stickers placed in participants’ homes. Knowledge, attitudes, and family support were assessed using pre- and post-test questionnaires. Adherence was monitored using records in the Maternal and Child Health (KIA) book during the activity. Data were analysed using descriptive statistics. Before the intervention, only 30% pregnant women regularly consumed iron tablets, while 70% were non-compliant. After the intervention, adherence of consume iron tablets increased to 80%. The percentage of knowledge improved among pregnant women from 60% to 90%, positive attitudes increased from 50% to 60%, and good family support increased from 50% to 70%. Family-involved health education improved adherence to iron tablet consumption among pregnant women in this community setting. This approach has the potential to strengthen maternal anaemia prevention programmes in primary care, particularly when combined with husband involvement and home-based reminder media.

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